Abstract
Symptoms of bezoars are often nonspecific and may mimic those of other gastrointestinal diseases. Therefore, this diagnosis should be kept in mind to avoid severe complications such as bleeding, perforation, or obstruction, especially when treating mentally retarded or psychiatric patients. We describe two young, mentally handicapped patients with perforation of the gut due to bezoars. The pathophysiology of this complication is discussed and the literature reviewed.
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References
Allred-Crouch AL, Young EA (1985) Bezoars — when the “knot in the stomach” is real. Postgrad Med 78: 261–265
Andrus CH, Ponsky JL (1988) Bezoars: classification, pathophysiology and treatment. Am J Gastroenterol 83: 476–478
DeBakey M, Ochsner A (1938–39) Bezoars and concretions. Surgery 4: 934–963 and 5: 132–160
Deslypere JP, Praet M, Verdonk J (1982) An unusual case of the trichobezoar: the Rapunzel syndrome. Am J Gastroenterol 77: 467–470
Grosfeld JL, Schreiner RL, Franken EA, Lemons JA, Ballantine TVN, Weber TR, Gresham EL (1980) The changing pattern of gastrointestinal bezoars in infants and children. Surgery 88: 425–432
Krausz MM, Moriel EZ, Ayalon A, Pode D, Durst AL (1986) Surgical aspects of gastrointestinal persimmon phytobezoar treatment. Am J Surg 152: 526–530
Lamerton AJ (1984) Trichobezoar: two case reports — a new physical sign. Am J Gastroenterol 79: 354–356
Vaughan ED, Sawyers JL, Scott HW (1968) The Rapunzel syndrome: an unusual complication of intestinal bezoar. Surgery 63: 339–343
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Avissar, E., Goldberg, M. & Lernau, O. Bezoar-induced ulceration and perforation of the upper gastrointestinal tract in mentally retarded patients. Pediatr Surg Int 9, 279–280 (1994). https://doi.org/10.1007/BF00832257
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DOI: https://doi.org/10.1007/BF00832257